ELA offers a partial scholarship opportunity to students with a keen interest in personal leadership development that may not be able to afford registration fees. Applicants must qualify for the National School Lunch Program/School Financial Aid and be entering grades 5-12.

These scholarships are provided through gifts from various businesses, foundations and individuals that believe in supporting ELA programming and providing our young people with essential 21st Century Skills.

APPLICATIONS ARE DUE WITHIN 5 DAYS OF PROGRAM REGISTRATION; PAYMENT DUE WITHIN 10 DAYS OF ACCEPTANCE TO HOLD PLACE IN PROGRAM UNLESS CONTACTED FOR SPECIAL CIRCUMSTANCES.

* Required

Student Name *

Your answer

Grade Level for 2018-19 *

Your answer

Parent/Guardian Name *

Your answer

Home Phone

Your answer

Cell Phone

Your answer

Email Address

Your answer

Preferred method of contact *

Home Phone

Cell Phone

Email

Required

Student School & School District *

Your answer

Program Type *

Club LEAD

Transitions

Camp LEAD

Chamber Leadership Academy- Beachwood

Preferred Program Location Site *

Your answer

*For Ahuja Medical Center Campers only* If N/A, skip to student response. Are you, or a member of your immediate family, a University Hospitals- Ahuja Medical Center employee?

Student Response--Describe what has led you to want to participate in an ELA program. *

Students should respond to each question in a few sentences to the best of their ability.

Your answer

Student Response--What skills do you hope to learn from this leadership experience? *

Your answer

Student Response-- How do you plan to use your leadership experience after the program is over?

Your answer

Financial Need (Parent/Guardian section)- Check the option(s) that apply to you *

In order to impact the most children we can, we are very prudent in our use of funds, please complete the following questions to help us, help you.

We qualify for Free & Reduced Lunch

We attend a school that is a Free & Reduced Lunch school

We receive financial aid to attend school

Required

Our current annual family income is: *

Your answer

If there are any extenuating circumstances, you wish to share with our committee to help us make our decision, please share them here.

Your answer

All recipients will need to pay a nominal registration fee based upon need. Please state your program below, followed by "I feel I can contribute $___" with the amount you feel you can pay. *

Original costs: Club Lead $215; Transitions $250; Camp Lead $295; Chamber Lead $195

Your answer

Please digitally sign your name to indicate that the above information is a true indication of your current financial situation. *

The Scholarship Committee strives hard to allocate our scholarship funds to as many deserving candidates as possible. After reviewing your application, the Scholarship Committee will inform you of the result. Scholarships are awarded of varying degrees.